| NPI | 1467563163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY E KOLB President 251-937-5652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL DO35) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-05-26 |